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Individual
REX DANIEL ROACH III
Active
Individual
REX DANIEL ROACH III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
21974
AL
Other
Enumeration date
02/23/2016
Last updated
02/23/2016
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